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Related Experiment Videos

Subgaleal abscess: an unusual presentation.

J F Wiley1, J M Sugarman, L M Bell

  • 1Department of Emergency Medicine, Children's Hospital of Philadelphia, Pennsylvania 19104.

Annals of Emergency Medicine
|July 1, 1989
PubMed
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A rare subgaleal abscess formed in a teen after chickenpox and head trauma, without a skin wound. This case highlights successful treatment with needle aspiration and oral antibiotics, differing from typical surgical approaches.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neurosurgery

Background:

  • Subgaleal abscesses are uncommon scalp infections, often associated with trauma or surgical procedures.
  • Varicella (chickenpox) can predispose individuals to secondary bacterial infections.
  • Typical management involves surgical debridement and intravenous antibiotics.

Observation:

  • A 16-year-old boy presented with scalp swelling and periorbital edema four weeks post-minor head trauma.
  • No external skin breach was evident over the affected area.
  • Clinical signs included prolonged swelling and elevated erythrocyte sedimentation rate.

Findings:

  • Computed tomography confirmed a subgaleal fluid collection.
  • Aspiration yielded Group A beta-hemolytic Streptococcus.

Related Experiment Videos

  • This represents the first reported case of subgaleal abscess formation without an overlying wound.

    • Implications:

    • Subgaleal abscesses can occur without apparent skin injury, particularly in immunocompromised or post-viral states.
    • Conservative management, including needle aspiration and oral antibiotics, may be effective in select cases.
    • This case broadens the differential diagnosis for scalp swelling in pediatric patients with varicella history.